Endoscopic drainage of infected pancreatic necrosis with complicated course –⁠ case report

Czech version

Authors: Bawadekji Hexspoor D. ¹; Tichý T. ¹; Urban O. ¹; Falt P. ^1,2
Authors‘ workplace: II. interní klinika – gastroenterologie a geriatrie LF UP a FN Olomouc ¹; Katedra interních oborů, LF UK v Hradci Králové ²
Published in: Gastroent Hepatol 2020; 74(2): 135-138
Category:
doi: https://doi.org/10.14735/amgh2020135

Overview

This report describes a 55-year-old patient, who was transferred from a regional hospital for acute severe necrotizing pancreatitis complicated by the development of large, infected, walled-off pancreatic necrosis. Because of severe septic shock with high perioperative risk and multiorgan failure requiring artificial lung ventilation, the patient underwent endoscopic transgastric drainage of the walled-off pancreatic necrosis using a metallic lumen apposition stent. Efficient drainage and repeated endoscopic necrectomy resulted in overall gradual improvements in patient condition. Due to the complete regression of fluid collection after 5 weeks the metallic stent was extracted. The patient was fully realimented and rehabilitated after 2 months of hospitalization and was transferred to ambulatory care.

Keywords:

stent – acute pancreatits – drainage – endoskopy – pancreatic necrosis

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